1501 Kings Wood Rd
Use BLUE or BLACK Ink
-----------------i
I or office us
I I
Permit # I
City of Ealian
`C v I
3830 Pilot Knob Road Permit Fee:
Eagan MN 55122 I I
I Date Received: I
Phone: (651) 675-5675 I
Fax: (651) 675-5694 Staff:
2011 MECHANICAL PERMIT APPLICATION
Date: Site Address: rl
-
Tenant: Suite
J RESIDENT/ OWNER Name: 7. T(ii,/ i 1/ Phone:
Address / City / Zip: ) 5S`V / VC n.,r / : ~1
CONTRACTOR Name: ,.t =g r` 1 'c) yti i} tom t A, License
Address: I 31 ) L Z r . f~ , V A f City: ` .
State: Zip: Phone: f~ C'
Contact: 64) i %°r~`r- Email: kJ~~1_) jaw 6,1 t(f /t i t
TYPE OF WORK New _ Replacement Additional Alteration Demolition
Description of work:
NOTE: Roof mounted and ground mounted mechanical equipment is required to be screened by City
Code. Please contact the Mechanical Inspector for information on permitted screening methods.
PERMIT TYPE RESIDENTIAL COMMERCIAL
urnace New Construction Interior Improvement
- Air Conditioner Install Piping Processed
Air Exchanger Gas _ Exterior HVAC Unit
Heat Pump _ Under / Above ground Tank Install / _ Remove)
" When installing/removing tank(s), call for inspection by Fire
Other Marshal and Plumbing Inspector
RESIDENTIAL FEES:
$55.00 Minimum Add-on or alteration to an existing unit (includes $5.00 State Surcharge)
$95.00 Fire repair (replace burned out appliances, ductwork, etc.) (includes $5.00 State Surcharge) $ TOTAL FEE
COMMERCIAL FEES:
$75.00 Underground tank installation/removal OR Contract Value $ x1%
$55.00 Minimum (includes State Surcharge)
= $ Permit Fee
- If the Permit Fee is less than $10,010, surcharge is $ 5.00
- If the Permit Fee is > $10,010, surcharge increases by $.50 for each $1,000 Permit Fee = $ Surcharge
(i.e. a $10,010-$11,010 Permit Fee requires a $ 5.50 surcharge)
= $ TOTAL FEE
CALL BEFORE YOU DIG. Call Gopher State One Call at (651) 454-0002 for protection against underground utility damage. Call 48 hours
before you intend to dig to receive locates of underground utilities. www.gopherstateonecall.ora
I hereby acknowledge that this information is complete and accurate; that the work will be in conformance with the ordinances and codes of the City of
Eagan; that I understand this is not a permit, but only an application for a permit, and work is not to start without a pe t; that the work will be in accordance
with the approved plan in the case of work which requires a review and approval of plans.
x -2
Applicant's Printed Name Applicant's Signatur
FOR OFFICE USE Reviewed By: Date:
Required Inspections: _Under Ground Rough In _Air Test Gas Service Test In-floor Heat Final
Exterior HVAC Screening Inspection
- ?.
CASH RECEIPT
.
CITY OF EAGAIV,,
3830 PILOT KNOB ROAD `
EAGAN, MINNESOTA 55122
'- ?
DATE ? 1 19 ?
?cervEO .i:? r '' ' ;
;'???.1 l r .
AMOUNT $ 8 DOLLARS
? CASH ? CHECK
? .;?I
? ? }
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Thank You
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ev
C 01692' While-PayersCWY
Velluw--PpsGrg Copy
Pink-File Capy
SEW R & WATER PERMIT
CIT?OF td"GAN
3830 Pilot Knob Rd.
Eagan,WN 55122-1897
r
DATE 01'/14/92
w
METER # -
CHIP # -
METER SIZE
ISSUE DATE
PRV _ BOOSTER PUMP
SITE ADDRESS 1501 Kinga waod $a[. RD
LOT 24 BLOCK 02 SEC/SUB K 1 C! OOd I I
APPLICANT: ?i , ?i? ? Cr. )? f ?: 1 `, ? 1j ..?
ADDRESS:
CITY, STATE ?-? r r.iS ?' I I? r ti9N ZIP -- ??-
PHONE: C^bb' 7061
PLUMBER: `-?r
ADDRESS: I018 MoNr.,dS S,?r?„?G Tt?rr?cc
CITY, STATE P?a`•-? _?oLa'J , r`'1N ' ziP 55
PHONE: 5ty ' y I y Q
OWNER: -
ADDRESS:_
CITY, STATE
PHONE
ZIP
OFFICE USE ONLY
PERMITOATE 01/23/92
PERMIT # 12505
B.P. RECEIPT # C 016927
B.P. RECEIPT DATE 01 J 17 /92
PERMIT REQUESTED
_?n-_ISEWER WATER _ TAPS
_ COMM/IND _k?_RESIDENTIAL
_!!?'NEW _EXISTING
Lawn Sprinkler Meters are to be Installed
Ahead of Domestic Meters on Water Line.
Credit VY4LL NOT?6 given for Deduct Meters.
?
1 q E?TO COMPLY Y11tTH CITY OF
E/Cdf?RDINANCfi?
(
SIGNATURE WHEN METER ISSUED
PLEASE ALLOW TWO WORKING DAYS FOR PROCESSING. CALL 454-5220 FOR INSPECTIONS. FOR STORM
SEWER PERMITS, CONTACT ENGINEERING DEPT.
SEWER & WATER PERMIT
CITY OF EAGAN
3830 Pilot Knob Rd.
Eagan, MN 55122-1897
DATE (l 1 / 14 / Q2
OFFICE USE ONLY
METER #??? y?0 I ? PERMIT DATE 01 /23 /92
CHIP #! Ll /S- 9?S PERMIT # 12505
METER SIZE ? S<SfA)Su S B.P. RECEIPT # C. 016927
ISSUE DATE -3?10 ^ g? B.P. RECEIPT DATE 01 17 92
SITE ADDRESS 1501 KingslwOOd $M. RD
LOT 24 BLOCK 02 SEC/SUS Kina*ood II
APPLICANT: McDn,.iF4
ADDRESS: 12-12- R uA?i u 3,A, Rr
CITY, STATE ?riJS Ui I? i l? ZIP 55327
PHONE: (oP?-
PLUMBER: 5-?Ar
ADDRESS: I DI $ Mo?tic?s Spri,.]ci TP rrA c c
CITY, STATE ZIP 5542()
PHONE: f?b?1 ' 4 ( ?I
PRV - BOOSTER PUMP
PERMIT REQUESTED
!?SEWER WATER - TAPS
_ COMM/IND L!!!?RESIDENTIAL
EW - EXISTING
Lawn Sprinkler Meters are to be Installed '
Ahead of Domestic Meters on Water Line.
Credit W1LL NOy boqiven for.9educt Meters. -,
CITY OF
OWNER: ?.a?.?r• vl}IJII\MIYIiW
ADDRESS:
CITY, STATE ZIP
PHONE SIGNATURE-- -WHE METER ISSUED
.,. , .."? _,..?.:?- /' `?? ? ??- , 5? 17 ?-2 6 g
PLE/KS`?? ALLOW ?fYV 1NORI4ING DAY$ FOR PROCESSYISG. CALL 454-5 20 FOR INSPE(IYTIONS. FOR STORM
SEWER PERMITS, CONTAC'T?ENGINEERING DEPT.
..?.a.. . . , - -?
{
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Ttrti#iraft of (Orrupanry
Citp of (Eagan
igr.pwfttrttt of 1ti[di40 inwrrtimc
This Cerirfuale iaued pursuanl m!he reqrdrmeentr ofSeclion 306 of the Unijorm Buifding
Codecerrilyin8 Utolat the Jbrte of issuartae Aissbucuve Kas in compliance wilh Jhe vearious
orduranaes of the CZry reguladn%bugdinS oonstrwdion or use For Ihe foUowing.
u,e a.uffiolom S5 AWAGAit ewg-Pmnw. )f1p35
p=KPNKY7ypM Rl /M 1 7?? Diwia g I '[ype Cdia VN
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POST IN A CONS%WOUS PUCE
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SIfC
LAN . ' 6 ° .
-9`1105 CITY OF EAGAN
3830 Pilot Knob Road, P.O. Box 21-199, Eagan, MN 55121
PHONE: 681-4675 ,
Receipt # -
n?a t?t? .ni. u?Lot 24 Block 2 Sec/Sub. KIWM WOOD 211D
Parcel No.
Name MCDONALD. CONST I31C
Z Address 1212 BL[JLbILL SAY RD
o City a1JRNSVILLE Mh Zp S5337
Phone 688-7051
? Name gAME
? Address
? C?v ZP
I hereby ackrwwleg
information is corre
Minnesota Statutes
Signature of PermiG
A Building Permit is
on the express corn
applicable Stale of I
Building Official _
that I have read this application and state that the
and agree to comply with all applicable State of
MCDONAI.O CONSt INC
all work shall be done in accardance with all
Slatutes and Ciry ol Eagan Ordinances.
n.
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S
i
OFFICE USE ONLY
Occupancq R-3 M"1 F EES
'
Zonirg 81dg. Permit 783.00 i
(Actual) Const ? Surdiarge 70.50
?
(Allowable) V=N p?Rev?y ?9•?i
k Of SfOfi85
70?
Licerise 3
5•00 ?
length
Depth SAG City 100•00 I
S.F.Tofal - SAC,MCWCC 700•00
?
S.F. Footprints _ .
67S•? {
On Site Sewage - Water Conn
On site well
water Meter ?
95.00
MWCC Syslem X
)(
Accl Deposit 301011D
i
CiryWater - 30.00 a
a
PRV Required _ S/W Pertnit
Boosier Pump - S/W Surcharge '50 7
7W.00
Trealment PI
?
APVROVALS RoadUnit 380.00 ?
? Plenner
il
C - park Ded. ?
ounc
BIdg.Ofl.
! - COp?? I
39678. 00
a
Yariance - 707AL
1
DATE: JAN 23, 1992
RE: 1501 KINGS WOOD RD (MCDONALD CONST INC)
X Your Sewer & Water Permit for the above property has been completed. it will be held at the
Public Works Garage (3501 Coachman Road) until the meter is picked up. BE SURE TO
CALL PUBLIC WORKS (454-5220) FOR YOUR PERMANENT WATER TURN ON.
? Your Sewer & Water Permit for the above property cannot be completed for the following
reasons:
- Your Sewer & Water Permit for the above property has been completed, but the meter cannot
be issued or occupancy allowed until further notice.
- COMMEHCIAL PROJECTS ONLY: Please pay for meter at City Hall. Meter size must be
confirmed by Bill Adams or Dirk House (Plumbing Inspectors - 454-8100) before issuance.
WARNING: BEFORE DIGGING, CAIL LOCAL UTILITIES - TELEPHONE, ELECTRIC, GAS, ETC.
- REQUIRED BY LAW.
CONTACT COMMUNITY DEVELOPMENT DEPARTMENT FOR WATER TURN ON POLICY.
Secretary, Building Inspections Dept.
fLddxess: 1501 KINGS WOOD RpAD Lot 24 Blk 2 Sec/Sub KIWS WOOD 2ND
, .
These?items were/were not complete at the time of the final i spection.
at .: 03 25/92 Yes No S
Final grade (6" from siding)
Permanent steps - garage
Permanent steps - main entry
Permanent driveway
Permanent gas
Sod/seeded grass ?
Trail/curb damage v
Porch ? - oS ?? j' (' S hs'1' ? ? ?Z
Basement finish
Deck
Please verify with the builder the removal of roof tast caps from the plumbing
system and the shut-off of vater supply to the outside lawn faucet before
freeze potential exists.
v?
PFCKYFD MPER
White - City copy Yellow - Resident copy Pink - Contractor copy
CITY OF EAGAN 3830 Pilot Knob Road, P.O. Box 21-199, Eagan, MN 55121 N1120035
BUILDING PERMIT PHONE:681-4675 Receipt ?J 0
# ? ?7 (
To be used for 5F DWG/GAR Est. Value $141, 000 Date JAN 15 , 1992
Site Address 1501 KINGS WOOD RD
Lot 24 81ock 2 Sec/Sub. KINGS WOOD 2ND
Parcel No.
Name MCDONALD CONST INC
Z AddreSS 1212 BLUEBILL BAY RD
o City BURNSVILLE MN Z.ip
Q Name SAME
? Address
? Cy Zp
? Phone
License # 0002376
I hereby ackno Ihat I have read this application and state that the
intormation is c rrec and agree to Comply with all applicable State of
Minnesota Statut an City of Ea an Ordin s.
Signature of Permitee
A Buiiding Permit is is ue to: DONALD CO INC
on the express conditi t at all work shall be done in accordance with all
applicable State ot Minnesota Statutes and City of Eagan Ordinances.
8uilding Official
l.
OFFICE USE ONLY
FEES
Occupancy R-3 M_1
Zoning R-l Bldg. Pertnk 783 _ nn
(Actuap Const V-N Suroharge 70.50
(Allowable) V-N Plan Review 509.00.
# ot Stories
Lenglh 70 ' Lioense
.
5.00
Depih 3-q-,-. SAC, City 100.00
S.F. Totai - SAC. MCWCC 700.00
S.F. Footprints -
on Site Sewage water Conn 675.00
On Site Well - Water Meter 95,00
MWCC System x_
30
Ciry Water
X Acct.Oeposit .00
30. 00
PRV Required _ S/W Permil
Booster Pump - S/W Surcharge • 50
Treatment PI 300.00
APPROVALS Road Unit 380- (1(1
Planner - park Ded.
Council
BIdg.Ofl. _ Copies
Variance - TOTAL 3,678.00
0ii/w// '/ a- ia 51-;:ps r
3 30 8 0 42??S400
Reque ate ire o. Rough-in InspeCtion
Requir
? Ready Now ?lKIRJotify Inspec[or
? es ? No Wnen Reetly?
I 3?frensed contractor ? owner hereby request inspection of above electrical work at:
Jo0 Atldress (Streel, 8ax
.rr /
t
1 City
Sen No. Township Name or ? Range No.
/Lt•Y County
Oc p 1(Pn INT Q !/ D
?'
1.? r Phone No.
Pawer Supplier Adtlress
EI tr ?I Contra lor (Cpmpany Name) , Con aclo S Lfen
l I
V
Mai ?n??ss 1 og[?acto?`? o- M?nslallatipn)
U ?\I'CJ .
Aut nietl SignaWre IC ntr qo pwner Making In tal tion) Pho e er
MINNEIOTD, STATE BOARD OF ELE RI ITY THIS INSPECTION REQUEST WILL NOT
Griggs-Mitlwey Bltlg. - Room &173 BE ACCEPTED BY THE STATE BOARD
1821 University Ave., St. Paul. MN 55100 UNLESS PROPER INSPECTION FEE IS
Phone (612) 642-0800 ENCLOSED.
?/$? REQUEST FOR ELECTRICAL INSPECIION Ee-ooooi.os
J ?? \ ? See instmctions for completing ihis form on back oi yellow copy.
I
?.?• , ?z `l? ?75 9
"X" Below Work Covered by This Request ?p
ew dd Rep. Type of Building AppliancesWired EquipmenlWired
Home Range Temporary Service
'- Duplex Water Heater Electric Heating
Apt. Building Dryer Other (Specify)
CommJlndustrial urnace
Farm Air Conditioner
Other (specityl Contrac[or's Remarks:
Compute Inspection Fee Below:
# .. Other Fee # Service Entrance Size F e # Circuds/Feeders Fee
Swimming Pool 0 to 200 Amps o 100 Amps
Transformers Above 200 _ Amps
Wy& 100 _ Amps
Signs Inspector's Use Only. ^ O AL ^.
Irrigation Booms ?, .
Special Inspection
Alarm/Communication THIS INSTALLATION MAY BE ORDER CONNECTED IF NOT
Other Fee COMPLETED WITHIN 18 MONTHS.
I, the Electrical Inspector, hereby
tif
th
t th
b Rough-in ? oece y
cer
y
a
e a
ove inspection has
been made. Finai
OFFICE USE ONLV ' P)
This request void 18 moMhs from
RESfDENTIAL
BUILDING PERMIT APPLICATION
CITY OF EAGAN ?
3830 PILOT KNOB RD, EAGAN MN 55122
651-681-4675
New Canstruction Reauirements RBmodeVRepair Reauirements
. 3 registered sile surveys showing sq. R. of lol, sq fl. of house', and all roofed areas • 2 copies of plan
(20% maximum lot coverage allowed) . 1 set of Energy Calculations for heated additions
• 2 copies of plan showing beam 8 window sizes; poured found design, etc.) . 1 sife survey for extenor additions & decks
• 1 sel of Energy Calculations . Indicate it home served by sepfic system for addiGons
• 3 copies of Tree Preservation Plan if lot platted after 711i93
• Rim Joist Detail Oplions selection sheet (bidgs with 3 or less units)
DATE 6 L1 2/172'
Walcr SoFlcncr
Watcr Hcatcr
lVo. of 13aths
SITE ADDRESS ITQ / ?n9SpYPd d Rd. MULTI-FAMILY BLDG _ Y _ N
TYPE OF WORK R?olocE Roo-f FIREPLACE(S) _ 0_ 1_ 2
APPLICANT _TavsidE
STREET ADDRESS Yo h1d„i Ct CITY__jj?/r STATEA&oi ZIP SSYrS
TELEPHONE # 14rz1 bvill CELL PHONE #
FAX #
PROPERTY OWNER & W/r s4eed TELEPHONE#
COMPLETE THIS SECTION FOR "NEW" RESIDENTIAL BUILDINGS ONLY
Energy Code Category _ 'MINNESOTA RliI.I:S 7670 CA"1'P.GOI2Y t MINNES017r1 RtiLES 7672
(J submission type) • Residential Ventilation Category t Workshee[ Submitted • New Energy Code W orksheet Su6mitted
• Energy Envelope Calculations Submitted
Plumbing Contractor:
P1umUing sysCcm includes:
Mechanical Contractor:
Nlcch.mical syslcin indu(Ics:
_ .Air Condilioning
Hcat Recovcry Systcm
rcc: $90.00
Phone #
ino
PI JuN 122002
Sewer/Water Contractor:
I hereby acknowledge that I have read this application, stpte that the infor tion is correct, and agree to comply
with all applicable State of Minnesota Statutes and City of Eagan Ordin ces.
Signature of AppticanS
------°--°°---------------------------°--------------°------------------------------------°-----------------------------°------------------------°----------
OFFICE USE ONLY
Certificates of Survey Received _ Tree Preservation Plan Received _ Not Required _
Updated 4102
VALUATION tg) 9vS a+
PtlOlle # ,
I.awn Sprinklcr
No. of R.I. 13alhs
OFFICE USE ONLY
? 01 Foundation ? 07 OS-plex ? 13 16-plex ? 20 Pool ? 30 Accessory Bidg
? 02 SF Dwelling ? 08 06-plex ? 16 Fireplace ? 21 Porch (3-sea.) ? 31 Ext. Ait - Multi
? 03 01 of _ plex ? 09 07-plex ? 17 Garage ? 22 PorchlAddn. (4-sea.) ? 33 Ext. Ait - SF
? 04 02-plex ? 10 08-plex ? 18 Deck ? 23 Porch (screened) ? 36 Multi
? 05 03-plex ? 11 10-plex ? 19 Lower Level ? 24 Storm Damage
? 06 04-plex ? 12 12-plex Plbg_Y or _ N ? 25 Miscellaneous
? 31 New ? 35 Int Improvement ? 38 Demolish (Interior) ? 44 Siding
? 32 Addition ? 36 Move Bldg. ? 42 Demolish (Foundation) ? 45 Fire Repair
? 33 Alteration ? 37 Demolish (Bldg)* ? 43 Reroof ? 46 WindowslDoors
? 34 Replacement *Demolition (Entire Bldg only) - Give PCA handout to applicant
Valuation Occupancy MC/ES System
Census Code Zoning City Water
SAC Units Stories Booster Pump
Nbr. of Units Sq. Ft. PRV
Nbr. of Bldgs Length Fire Sprinklered
Type of Const W idth
REQUIRED INSPECTIONS
_ Footings (new bldg) FinallC.O.
_ Footings (deck) FinaUNo C.O.
_ Footings (addition) Plumbing
Foundation HVAC
Drain Tile Other
Roof _ Ice & Water _ Final _ Pool _ Ftgs _ Air/Gas Tests Final
_ Framing Siding Stucco Stone
_ Fireplace _ R.I. -Air Test _ _
Final _ Windows (new/replacement)
_ Insulation _ Retaining Wall
Approved By
Base Fee
Surcharge
Plan Review
MC/ES SAC
City SAC
Water Supply & Storage
S&W Permit & Surcharge
Treatment Plant
Plumbing Permit
Mechanical Permit
License Search
Copies
Other
Total
Building Inspector
783- 00 {_
`l0 • 50+
2, 315•5 0
?
3700;
? +G?" •°' ^?a'.?%
? . .
t ' Zo
-?991 BUILDING PERMI 5AFF§LICATION
jQQ 2- CITY OF EAGAN
SINGLE FAMILY DWELLINGS MULTIPLE DWELLINGS COMMERCIAL
2 SETS OF PLANS 2 SETS OF PLANS 2 SETS OF ARCHITECTURAL
3 REGISTERED SITE SURVEYS REGISTERED SITE SURVEYS - & STRUCTURAL PLANS
1 SET OF ENERGY CALCULATIONS (CHECK WITH BLDG. DEPT.) 1 SET OF SPECIFICATIONS
1 SET OF ENERGY CALCUTATIONS 1 SET OF ENERGY CALCS
# OF RENTAL UNITS
# OF FOR SALE UNITS
PBNALTY APPLIES WHEN: TYPZNG OF PERMIT IS REQUESTED, BUT NOT PZCKED UP BY LAST WORKING DAY
OF MONTH IN WHICH REQUEST IS MADE.
IAT CHANGE IS REQUESTED ONCE PERMIT IS ISSiJED.
NOTE: ADDRE55E5 FOR CORNER IATS - CONTRACTOR/HOMEOWNER MUST DESIGNATE WHICH ADDRESS IS
DESIRED. NO CHANGES WILL BE IAWED ONCE BUILDING PERMIT IS ISSUED.
PROCESSING TIME FOR SEWER & WATER PERMITS IS TWO DAYS ONCE A PERMIT HAS SEEN COMPLETED.
PERMIT MUST SHOW A LICENSED PLUMBER.
£7?c?uJd?s ?o?
To Be Used For: ? ValuationDate: 1-1?-}-9Z
Site Address OFFICE USE ONLY
Lot ? Block ?
Parcel/Sub _??oQGl,JOp ? ?
Owner
Address
City/2ip Code
Phone
Contractor ?
Address f 21 Z?ue?
City/Zip Code R?AC&gLj,?je-
?!«#
Phone (o8'a -?70601 /
? -
Arch./Engr.
Address
City/Zip Code _
Phone #
Sewer/W r Li eba'
SLL 8DD11 8b E St,
C$???r
Occupancy M•/
=
Zoning `
Actual Const V/L'
Allowable
# of stories
Length 7('j
Depth 3 9. 33
S.F. Total
Footprint S.F.
On site semage_
On site well _
MWCC System sC
City water Ll--?
PRV
Booster Pump _
Planner
Council
Bldg. Off.
Variance
FEES
Bldg. Permit
Surcharge
Plan Review .?04
SAC, City /O 0
SAC, MWCC 2Op
Water Conn. 617S
Water Meter ?
Acct. Deposit 30
S/w Permit 3,9
S/W Surcharge „so
Treatment P1. 300
Road Unit 3p0
Park Ded.
Trail Ded.
Copies
L; c-, re c S
SIIBTOTAL
Penalty
Lot Change
TOTAL
that all work shall be done in accordance with
of Minnesota Statutes and City of Eagan Ordinances.
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?" * *'? :422 Enterpnse Clrive
??iVleRdo*.a F4e}!?hrs, MN 55120
? ?,????? l,Ary[ISl5t1VEYOFIS CIViL?NGINF.C,Ft$ . y _
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9* ?= 9 •` (612)68i?181??
?k * ?. ??--
Certificate of Survey for: ?C:I??r??ld_ C;onStr?ction,_ Inc.
Nouse Address: 15{?l f?in-?s_Wood Rvad _E?an?--,?!I?? _
Model Name: 51-53?3
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- sea ? qenotes ProposeJ ?"levaticn ???r?st Fioor Eievotior?: _? ??; ??>
-- Denote :?rc,inoge ?e tlti;?ty Eci?ement Tap ot Blc?ck Cl?vc?fion: 8?9. •%3
--?---Denotes ?Jr?inage ?law Uire:ction ?-- -?-
--,-.- qenates Monument t?ar?g? Slob ?levntion? 87E?: =?
_..?- ?enotes Offset Hub ?3?cr}ngs s;?vwn ore n?;sumed
L a T._ 2 4-, ? ? 0 C?_. 2_ 1? 1 N G?---V??J C? ?_. ?? C?---A D_? 1 TI J I? '
DAK07A C?UNTY, M!NNES{JTA
1 herovY e8rtif•y th?t tltis sutveY. ?tun ar repOrt W3; prePa?9?j bY? ^•? Dr ?tndar my direct sV?CrviS?e??? ortd ih?t l Bm ?1pL? p?fli3t8rod Lon? $iirvr,ypr
??,dC. iNe iaws ol the Seate nl=ry?ii,ne:nia, f)3ted ihls ??L'_..._ d?y ol..SL?'^??a ?'_'?_. p.D, tD g?._... . ,,.,?,? .
, - ? .. . ?? I ^? ? ?/ -
p ,? . - ?} 4 .
.? lr Q ? l, . I inC?"f F: ? `J {HO?, ?, :.._ .t7 ? R7 4?. S1M±CH ?i...$, FEG. ? C?. 14891. ' ? - .
.....,__ ?._-......_.._._ . _. .?,..<.. ,..-?-. ?: '. ' . . ? . ? ' ?
?_' `-_-_..._....._-_..w,...m....--.....,.?..y.,?•.?.?.?..?;. -___.?.?.__.__'_ - .
MINNESOTA 5TAmE ENERGV CODE CALCULA rnNGP-*4f?{ -?:-?e2
• BASED oN CNAPTER 5 OF THE
_ MODEL ENERG,Y CODF{ 1983 EDITIOm
Adoption Effective
- - " Phone Date
Site Address
contractor phone:
euilding Classification: Type A1 (3ingle Family & Duplex) ?
Type A2 (Residential, 3 stories or less) (over 3 stories) (Uther)
NOTE• ComD1 1'e bage . S 2 wnA e irat
.
GENERAr TNFORMATI[)" 4s*??O10
1. Baildinq Perimetez
2. Wall hei ht 1+
9 (ground to eave) ft.
3. 1. X 2. (above) gzo8s wall area??_1R/?q.ft.
4. Building dimensions (L) "? g
(W) 7 sq.ft.roof & floor area
5. Sq. foot area of rim joist - F,lo$?' jo t ize 42 X )
1? 7C ( Perimeter )_ 08q, ft.
6. Doors - Area 12
Thickness in U. factor % 4
Type of Cohstructivn Perimeter ft.
• Manufacturer
7. Total door's peritneter ft.
S. Windows : Magu?aatuzert??L State approved
U factor_
TYpE SIZE AREA (Sq.Ft.) NUMBER OF TOTAL
EACH UNITS 5Q FEET
9. Total sq.ft. Glass 0 4
10. Fireplace area: Width X Heiqht }( a Sq.ft.
il. Exposed foundation: Height X Perimeterlk X-t-45L=qqt-g!?q.ft.
COMPLETION OF THI3 FORM ZS REQ[JII2ED FOR ALL NEW taNBTRUCTION, MAJOR
REMODELING AND BUILD2NG8 BEINC3 MOVED WHERE ENERGY, OTHER THAN THE M2NIMAL
CODE ALLOWANCE. IS USED.
-1-
1,2. Fr.aming area = 10% of gross well area.
13." Gross wall area &?Oe sq.ft.
Window area A? 14'1 gq. ft„ U windows = -tp-,P -
Rim joist area ,Ai1T Bq,ft. U rim,joist=% ?
Door area A_IFP sq.ft. U door area'
Other doors area A&i?q,ft. U other doors= t4-L
Expvsed fndn Ad?
`1??) %Sq,ft. U foundation=,02?
Framing area A L}'10t sq.ft. U framing area=109?
00
Net wall area ALq4?ilt&ft. U wall=
UxA = ?? D cl? ,?I
UxA ?
UxA =
UxA =
UxA =
tlxA =
UxA =
(17B) TOTAL . . . . . . . . . U x A = 1 1
14. Gross wall area x 0.11 (A-1 sinqle family 6 duplex) = allowable UxA/Code
(13. above)
x 0.23 (A-2 other residential)
x .23 (other buildings)
x ,28 (over 3 stories)
BTUH must, be larger than or eame
_ v?sC?vu Cod6 ? a I oF, fl8 13B SbOVe
15. Ceilfng framing area (Af) equals lo$ of eeilinq area
15A. Gross ceiling area =(L) `? X(W) _sq.ft.
15B. Joist area (Af) = 10$ ceiling area =M2 j sq.ft.
15C. Net ceiling area (AC) (15A - 15B) _en?1d? sq.ft.
U ceiling x Ac =-.??x ???? _ ?C??
U framing x A f =o i xo? `- G•t "C' `1''
15D. TOTAL U x A .............................
16. Ceiling area (15A) x 0.026 (A-1 single family 6 duplex)
= allowable UxA/Code
x 0.033 (A-2 other residential)
x 0.06 (other)
?QrQ? tBTVH must be• larger than or same
A(15A) x U Code ! 11 OF. as 15D above
NOTES Use U and A values obtained from pages 1. 3 and 4.
CERTTFTCATTON: I hereby certify that I have calculated the "U" factora and
"R" values herein and that the buildinq here described meets or exceede the
State of Minnesota Energy Conservation Act.
Date signature ' .
-2-
? 4q
V72?
?
?
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`
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i ?.
Co
j???o7?C??1?-z???+??,??-2fv? = ?44 0(V5
'47 i vib ,o
l 42'v` IL ?
l0,0 X
Io5p
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eotO
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2n??4L
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???/?'? bl,?fo
l?l ?
. . - •
WALL '
SECTION
U Vnw C LhU.vLn1iun3
VALUE U VALUE
Tneide air film .68 '
Interior wall ??? (Nall) U • R :
Insula[lon I900
,
Shea[hing 7,10V
Stding 'oi
Outalde alr film .11
R TOTAL Z• ?????
STUD
SECTION
2NIT-pAL-?-_``
?
SECTION.
R1M
JOIST
?
Inside.air film ? .68
Intetior wall . Z,S
4" stud R= 1i:38(p,70 (EramLng) U -? .
Shea[hing
Siding f (01 aler
Outslde •alr film ' .17 --
R TOTAL • 10 Inside air film R= .68
Intetlor wall
Insulatlon r''??(Wall ? U e R-
.Shea[hing .?--•_'""?/`` z ?
_.ExCer lor 'aa.Lk_Sovering
Exterior air film R--,& .17
R T02AL
lnterior alr film R= .68
lnsulation
l? inch soEt wood R=1.88 (Rim u
' JOiSt) '
5heathing Zip(p
Exterior wall coveting
Exterior air film R= ,17 ,
R TOTAL Z41 ?cy
Awov-
air Etlm R= .68
Intertor
I
{
Cinsulacton)
G104' (Fdn. ) U = ? =
Extetior air film R= .17 , `
?/?'
F TOTAL ?
'£xposed 3lvck
i ... .
'?`,rade s.
MILING WITH VENTED ATTIC SPACE ABOVE
R VALUE
FRAMING
R VALUE
CEILING
0.61 AirFilm 0.61
3 ?,C? Insulation 45' o
4.38 Joist -
0.56 Ceiling 0.56
0.61 AirFilm 0.61
4--( tv Tota1R 4?' 7?
1r7Z?j U?l/g . 0 Z1
Window infiltration 0.5 cfm/lineal foot of erack •
Residential door infiltration 0.5 cfm/square foot or door and minimum code
requirement
Non-residential door infiltration 11.0 cfm/lineal foot of crack
llb 12" concrete block no insulation = .47 R 2.1
Ub 12" concrete block insulated cores = .26 R 3.8
Ub 12" lightweight b1oCk = .32 R 3.1
Ub "
12 lightweight block insulated cores = .12 R 8.3
U single glass = 1.13; with storm window .54
U double glass = .55
U triple glass = .41
All exterior walls and ceilings must have a vapor barrier (0.10 perm max.).
Vapvr barrier must be ori the inside (heated side) of wall.
Vapor barriers of the polyethelene thin fil.m have no R value.
"A
L CITY USE ONLY l ? 3- BL ? RECEIPT #: d-19r
SUBO. RECEIPT OATE:
PERMIT # 1"4 0 U o
8000 PLUM$INfi PEiMTT (fiESIl}ENTLAL)
crrY og Eteum
sgso PaoT Kxoa fto
$t4filkN, MN 55122
651-6$1-4675
Please complete for: ? single family dwellings
? townhomes and condos when permits are required for each unit
> backFlow preventer for underground sprinkler system
CIYTIIiDFC I
EACH
#
TOTAL
Alterations to existing dwelling - minimum fee
Describe:
$ 30.00
Bath tub $ 3.00 x = $
Floor drain 3.00 x = $
GaS i irl OUtIBt ' minimum -1 3.00 X = $
Hot tub/s a 3.00 x = $
Kitchen sink 3.00 x = $
Laund tra 3.00 x = $
Lavato 3.00 x = $
$6 tiC S S22Rt new/refurbished 'requires MPC lic. 75.00 X = $
Se tIC S Stem abandonment 30.00 x = $
RPZ new installationlrepairlrebuild 30.00 x = $ ?
Rou h o enin 1.50 x = $
Shower 3.00 x = $
Under round s rinkler if dwelling is under consWction
Under round s rinkler irexistin dwelling
Water closet 3.00
30.00
3.00 x
x
x =
=
= $
$ U. CC)
$
Water heater 3.00 x = $
W ater softener If dwelling under construction
Water softener ifexisting dwelling
Watertumaround
State Surchar e
Total 5.00
30.00
30.00
.50
_a x
X
x
--?
-->
----
----?
----> =
=
_
---->
...> $
$
$
$ .50
$ "'0
Reminder: Call for inspections of alterations, i.e. water heaters, water softeners, etc.
------ ------------------------ -------- - - - - - - -
---------•---•--.--•------•--------------------•--------•-----------------
•d agree to comply with all appiicable City of Eagan ordinances.
.I have read this applip5on, sta[e that the informaGOn is- corcect, an•
-I-hereby-acknowledge-that.
It is the applicant's responsibility to notify the property owner that the City of Eagan assumes no liability for any damages caused by the Ciry during its nortnal
operaGonal and main[enance activities to the facili[ies constructed under this permit within Ciry property/righbof-wayleasement.
SITE ADDRESS:
OWNER NAME: :
+) E EPHONE#: ?6 1-Y5G
(AREA CODE)
INSTALLER NAME TELEPHONE #: !(fl? u7bA y40
l 1 (AREA CODE)
STREET ADDRESS: y3 ? 3?j'? Ja v'e N r? -
CITY: ??O?\ STATE: 1•\in? ZIP:
?
SIGNATURE O PERMITTEE
PERMIT ,# E-,-'p,35 CITY OF EAGAN
REACTIYAT _ 1992 BUILDING PERMIT APPLICATION
681-4675
SINGLE & MULTI-FAMILY 2 sets of plans, 3 registered site surveys, 1 copy of energy
calcs.
COMMERCIAL 2 sets of architectural & structural plans, 1 set of
specifications, 1 copy of energy calcs. •
Penalty applies when typing of permit is requested, but not picked up by last working day
of month in which re uest is made or lot chan e is re uested"once ermit is issued.
Date Valuation of work
Site Ad ress: /5cO/-,5i r «c- ,S?vv?c?
STREE SU1TE N
Tenant Name: (commercial only)
T
t BIACK ?- SUB p . I . D . #
Description of work: 4vC??i
The applicant is: 0 Owner ? Contractor ? Other (Describe)
'Ido Name .s Glql -?ld/I2P?S' Phane
Property LAST F,RST
Owner Address /-?``C?/ GZj-o z1c-yl pQc,?
STREE STE
City _ Z-6m?/// State /1l/1? Zip
Company Phone
C011t1'8Ct0r Address License # Exp.
City State Zip
Architect/ Company. Phone
Englneer Name Reglstration #
Address
City State Zip
Sewer & water licensed plumber Processing time for
sewer & water permits is two days once area has been approved.
I hereby acknowledge that I have read this application and state that the information is
correct and agree to comply with all applicable State of Minnesota Statutes and City of
Eagan Ordinances.
Si
nature of A
li
t
g
pp
can
:
OFFICE USE ONLY
BUILDING PERMIT TYPE
El 01 Foundation
O 02 SF Dwg.
? 03 SF Addition
? 04 SF Porch
? 05 SF Misc.
WORK TYPE
V? 31 New
? 32 Addition
11 06 Duplex
D 07 4-Plex
? 08 8-Plex
0 09 12-Plex
? 10 Multi. Add'1.
O 33 Alterations
O 34 Repair
?.;
'
..
? ..? .„? ' A
O 11 Apt./Lodging
O 12 Multi. Misc.
? 13 Garage/Accessory
O 14 Fireplace
P, 15 Deck
0 35 Tenant Finish'
? 36 Move
0 16 Basement Finish
? 17 Swim Pool
O 18 Comm./Ind.
O 19 Comm./Ind. Misc.
O 20 Public Facility
0 21 Miscellaneous
0 37 Demolish
GENERAL INFORMATION
Const. (Actual)
(Allowable)
UBC Occupancy ?
Zoning
# of Stories
Length _70`2
Depth ?-?
APPROYALS
Planning
Engineering
REG2UIRED INSPECTIONS
? Site
? liallboard
Basement sq. ft. MWCC System
lst F1. sq. ft. City Water
2nd F1. sq. ft. PRV Required
Sq. Ft. total Booster Pump
Footprint Sq. ft. Fire Sprinkler
On-site well . Census Code
On-site sewage SAC Code '
Building DS (?-z?_,Z
Yariance
6 Footing
fl Final
? Framing
? Draintile
? Insulation
0 Fireplace
Permit Fee v.i„mc;«,: g
Surcharge /
Plan Review
License
MWCC SAC
City SAC
Water Conn.
Water Meter .
Acct. Deposit
S/W Permit
S/W Surcharge
Treatment P1.
Road Unit
Park Ded. .
Trails Ded.
Copies
Other
TotaT:
Assessments
SAC %
SAC Units
.
f;?`' •?r
2472 Enter rise Urivr
# PIONFEp Me?dota fllghcs, h1N 55120
. viL E14C?r<EER4
l.+rm s??ia:?erons n
* er?y?* eeringr? IANCi'1_ANNER3I lAIlU:?_urE wR:H?1f.r_'f5 1612166#-181??
(;ertl[icate o( Survey ror: Mt;UonaICa Cvnstru_ct_io_n,_ IC1G.
House Addres5: 1501 _: K_ih._?s_WooO_ Rc7_qd1._Ea
Model Nome: 91-53B
-, ?
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. .. .... .?
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163.00 ./p
S 89°30'15" W
Ai?
B evI F- w€n
. 1
? ?Y
LN A<<F,_.l.:A?!.?_?.z; _--? ?
?
i
I an^.^ Denotes^ Cxisting Elevotion PRppUSEC] FIOUSE ELEVA1I0N '
-c oy> qenotes Proposed Flevation Lowest Flotir Elevotion _JR7i, a..n
-- f?erates. Drainaye & Utility Fasernent
7op of F31or..k E.ievalion: £379.'7x
----- Denotas droinage Flow Dirrction ---- --
-?,- Denotes Monument Garage Slab Elevation- 8%6• ''-c'
?.?.- henotes Offset Hub t3earlnqs shown nre rissurned
LQT._24, HLOGK-..2KINGS_WUUG----?N-D--AD.DI.1-.I0N
DAKOtA Ctn1N1Y, MtfdNESOTn
1 hrre(fY f-llily (??p( IHie 111tYPY. [?IfV1 7f Ir?y_?1! 'ba{ Ct?(l?C) bv I hjt I 9ni (IUIy 17eoiSIPrnQ LOml $m vpyqr
pnrltr ih! IAwf OI lb! SlelO PI-10innCSold. I141ed M1:.g.??...._ i19y of A.P. :., .
inch,? ('? iAOt .(? `!_. ?
_.._._ ?V._---?• _.._...- „t)E.aT a_Gsitc,?r.-.r+??,.5 nFG.r n_`, 1aao1.?_,...._..
.r•--, ? .. .... . ....
ti AGAN ENGINEERIIdG DEPT
:t
CITY OF EAGAN
n.. 3830 PILOT RNOB ROAD
EAGAN, MN 55122
PHONE: (612) 454-8100
FOR CITY USE ONLY
PERMIT
RECEIPT #
# fU
DATE:
ATTTAT;i; PLEASE COMPLETE UPPER PORTION ONLY FOR SINGLE FAMILY
TOWNHOMES/CONDOS WHEN PERMITS ARE REQUIRED FOR EACH UNIT.
------------------- ------------------------------------------
WORK DESCRIPTION FEES
NEW CONST ?
ADD ON
REPAIR
OWNER NAME :
SITE ADDRESS:
LOT: ?cl) BLOCK c - SUBD. A? ?
INSTALLER: C) P_-cN?_.'E'?
ADDRES S : ?a
CITY: ZIP:
PHONE # :
ADD-ON MINIMUM
HVAC 0-100 M BTU
ADDITIONAL 50 M BTU
GAS OUTLETS - MINIMUMa
OF 1 PER PERMIT
SUBTOTAL:
STATE SURCHARGE:
DWELLINGS &
$15.00
24.00
6.00
f- 3.00
.50
TOTAL :
S?IG ATURE OF PERMITTEE
(i
G?MMERCIA?:?INDAS:TlqAI:`,:; PLEASE COMPLETE THIS PORTION FOR ALL COMMERCIAL/INDUSTRIAL BUILDINGS,
:. .:.
....::.::.......... .. ....::.,........... _..:. ..............
APARTMENT BUILDINGS, AND MULTI-FAMILY BUILDINGS WkiEN SEPARATE PERMITS ARE
NOT REQUIRED FOR EACH DWELLING UNIT.
------------------ --------- ----------__•.__?_?____-
CONTRACT PRICE:
OWNER NAME:
SITE ADDRESS:
LOT: BLOCK SIIBD.
INSTALLER:
ADDRESS:
CITY: 2IP:
PHONE #:
FOR:
FEES
18 OF CONTRACT FEE.
STATE SURCHARGE _ $:50 FOR
EACH $1,000 OF PERMIT FEE.
PROCEcSED PTPING = $25.00
$25.00 MINIMUM FEE.
CONTRACT PRICE x 1$ $
STATE SURCHARGE $
TOTAL:
$
(SIGNATURE)
CITY OF EAGAN
CITY OF EAGAN
3830 PILOT KNOB ROAD
EAGAN, MN 55122
PHONE: (612) 454-8100
FOR CITY USE ONLY
PERMIT #
RECEIPT #
DATE:
?????'i;? PLEASE COMPLETE UPPER PORTION
<.;..?:r.,:,:::,:::.:.,::<,M:?. ?. ONLY FOR SINGLE FAMILY DWELLINGS &
TOWNHOMES/CONDOS WHEN PERMITS AR.E REQUIRED FOR EACH UNIT.
------------------------
WORK DESCRIPTION ------------------- ----------- ---------------------
COMPLETE THE FOLLOWING: ------
N0. FIXTURES EA. TOTAL
NEW CONST
ADD ON )
! ADD-ON MINIMUM
SHOWER 15.00
3.00
? 00-
REPAIR ? WATER CIASET 3.00 ?I 00
? BATH TUB 3.00 -'?.00
J
OWNER NAME: Q
G O ? r^UC ldO -3
1 LAVATORY
KITCHEN SINK
LAUNDRY TRAY 3.00
3.00
3.00 ,00
?.Oo
,00
?
SITE ADDRESS: A
lYI?C W00
HOT TIJB/SPA
3.00
Z, d
LOT : 0` 1 BLGCK 0? SUBD . h G S W 00 U
? WATER
Fi?'it?R DtZAYNR
3.00
3.00
00
/(?'?"
INSTALLER: I (?e / lUvri A, hq .?%hL
? GAS PIPING OUT.
(MINIMUM - 1)
3.00
?
r
`--rwc: ? / ?v?. ('
ADDRESS : / ??E? ?C'J ? ROUGH OPENINGS
OTHER 1.50
CITY:?d/!d '' U2 ZIP: WATER SOFTENER
PRIVATE DISP. 5.00
15.00
U.G. SPRINKLER 3.00
PHONE
` ? ?
DlI`e?C)" SUBTOTAL
ST. SURCHARGE ,?_ ? o
.50
SIGNATURE OF PERMITTEE
TOTAL: n
$ ??/ , OO
PLEASE COMPLETE THIS PORTION FOR ALL COMMERCIAL/INDUSTRIAL BUILDINGS AND
MULTI-FAMILY BUILDINGS WHEN SEPARATE PERMITS ARE NOT REQUIRED FOR EACH
DWELLING UNIT.
- - - - - - - - - - - --
CONTRACT PRICE:
OWNER NAME:
SITE ADDRESS:
LOT: BLOCK
INSTALLER:
ADDRESS:
CITY:
JHONE #:
R:
ZIP:
CITY OF EAGAN
SUBD.
FEES
1$ OF CONTRACT FEE.
STATE SURCHARGE _ $.SO FOR
EACH $1,000 OF PERMIT FEE.
$25.00 MINIMUM FEE.
CONTRACT PRICE x 1$
STATE SURCHARGE
TOTAL:
( S IGNATtIRE )
$
$
220897
OFFICE OF THE RE615TRAR OF
TI7LE3 • DUCOfA COLX'OY. MN.
?jp?pr. ME Tma TviENT W7?9FIl.EO W 18
OfFICE ON M1D N
C:r UASI?'69
Doc ?
?RTFCM NQ cll-4?
y1ME8 K OOIAN
nEdsTaa oF Tm-es .?18 ,
ar.
? !"
FEE
CASH T
c34Eac
CHAFM
CHARGE VWHW
FtEFUM
3 e6 3
?: SFvr.CSav, ?r<('o? ? SNCCJ011
OAC'S -to
9070i1
i
oFFlCe oF n+e cour+rr
RECOFlDER-OAKOTA COUNTY,MN-
CERTIPIED THAi THE WITMIN
INSTRUMENT WAS FILED FOR
RECORD IN TNIS OFFICE
pN ANO AT
OcT 4 2 3o PM'69
? NO 9o7oii
JAMES N. COUNTY RECORDER
DEPUTY FEE a CQ
CASH 0 CNECIf )( CHARGE G
cwwce wrww
REFUND
DO NOT REMOVE
a66 ll)--
i C? •
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907011
EIIiGB MOOD 2ND ADDITIOB
PRESSDR6 aSDOCIBG V11LV8 J4GRBBM6NT
TH AGREEMENT, made and entered into the ?'f# GaY ai
, 1989, by and betr+eea the CITY OF EAGAN# a
Muaici ity of the State of Minnesota, (hereinafter called the CITY, tAl and t!{e Orner and the Developer ldentSfiec herein.
The tetm6 •Developer" and "Ornec" es used hecein refe[ to HOANE
DEVELOPl1ENT CORPORATION Whose address ie 3850 Coronation Road, Eagen,
Minnesota 55122.
WHEREAS, the Developes hae applied to the CSty fo[ npptoval of
the plat or subdivialon known ae RItaGS WOOD 2ND ADDITION, located
riL11n the Cityt and
WHEREAS, the Owner and Develope[ agree to notify the pcoposed
potential buyeza of aul lots within !(INGS WOOD 2ND ADDITION that Lots i
27, 28, 29 and 30, Block 1 and Lots 14p 15, 16, 17, lBr 19, 20, 21,
22g 23, and 24, Block 2 are in a high water pressure zone and a
preesuce reducing valve shall be inatnlled 1n each hane below the
elevation of 875 feet. All coste shall be the responeibility of the
Owner end Developar and shall be inetalled to pcevene camage aue to
high vates pseeaute.
NOPP, THEREFORE, tho City, Ownet ana Developec agree ae follows:
1. aeeocdina. This agteem:nt ahall be recorced Mith the Dakota
County Recordes so as to psovide notice to the a+nera of Lota 27, 28,
29v and 30, Block 1 anu Lots 14r 15, 16p 17# 18t 19, 20, 21, 22r 23r
and 24# 81ock 2r KING8 WOOD 2ND ADDITION. The a+ner shall proviae ana
execute any and all docmnente necessacy to implement the recor6ing of
this agreement.
2. Notic.E. The cecotding of thia documeni shall constitute
notice to all ownera and future owners of pcoperty in the RINGS wOOD
2ND ADDITION thet Lote 27, 28, 29, anu 300 Block 1 and Lots 14, 15,
16, 17, 18, 191 20, 21, 22. 23, and 24, Block 2 ase in a hi9h xatec
pressure sone and that a presaurs teducing valve Bball be inatallea
in each hane below the eleration of 875 feet. All coats shall be the
cesponsibility of the Buyer and shnll be installed to prevent demage
due to high rater pteasure.
3, vmliAltv. If any portiont section, subsection, sentence,
ciause, paregreph or phraee oi this agreement is for any season held
to be invalid, auch decieion ehall noi affect the valiaity of the
=emalning poction of this Contzact.
4, eindina Aareement, The partiea mutually recognize and agree
that all terms and conditions of thie recosdable agceement ahall cun
with the land herein deec=ibed and shall be binding upon the delrs,
successora, adainiattatocs and asaigna of the ownere and 8evelopera
referenced in thia Contcact.
IN WITNESS WHEAEOP, we have hereunto eet our hands.
(DaHORNE DEVELOPMRNT CORPOAATION
CITmMayor OWNER AND DEVELOPER
8ys gY;
'
it(i i
Atteat s a""'' ?-
Its C tk Ty?
STATE OF MINNESOTA)
?n.'- _- ) se.
COtINTY OF ?ZLi)
On thie ? day of k 4 r 1989, before me a Notary Public
within and for said County, pe=sonally appeared VICTOR L. ELLISON ana
B. J. VanOVERBEK6 to me personally knoxn, who being each by me auly
ewocn, each did say that they ace [espectively the Mayoc and Cleck of
the City of Eagan, the municipality named in the focegoing
Snstrwnent, and that the seal affixed on behalf of said municlpality
by authority of its City Council and said dayor and Clerk
acknoKledged said instrument to be the ftee act and deed of sain
municipality. ,
EC_®r"-Z?'DAKOTA t71 L N'UCMERAFUlPUCCI^.-YIMNESOII
COUNTY
o
m?saa? t,o r.e t+sso
? u
N taz Public ?
-Z-
STATB OF MINNESOTAI
) ss.
COUNTY OF o*t )
On tbie .? day of MfFy , 1989, before me a Notary Public
within nnd foc said County, pecsonally appeared
.tNMes 3. ko,ea s -On+ to me c nally;. ..,
known$ who being eee}? by me duly svocn, eae?? aid say tnat
seepeebively? thB PRES,o F? r !tlmi-
of the Cocporation named in the foregotng .
inatrument, ---` - -- - -- -- - -- - ei?
end that said inst=ument wma
aigned ena-tiea3rtd on behalf ot said corposation by authority oE ;ts '
Board of DS[ectors and said ,f,aES.o..?.r -ener-
acknowle6ged saia instrument to be thB frte
act and deea of the corporation. EA)EtI2A8E7N ?l WITT NoTwrru.uo.MVUnwrA OAnDTA COUN?Y
WYA ir Notary Public
C?nMWMK?? , .
---------------
f ..
APYRWED AS TO FORM:
C y Attorney'
ates
APPROVED AS TO NTENTs
ir.? .
s/_.4 '
/,., L'?
Public"WOCke De astmenL
Dntet ?:
TBIS INSTRtlMENT NAS DRAFTED BYs
NcMENOMY i SEI7ERSONO P.A.
7300 Neet 147th St=eet
P.O. Box 21329
Apple Valley, MN 55124
?D? ! 032-3136
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PERMIT
City of Eagan Permit Type:Building
Permit Number:EA118652
Date Issued:11/05/2013
Permit Category:ePermit
Site Address: 1501 Kings Wood Rd
Lot:24 Block: 2 Addition: Kings Wood 2nd
PID:10-42001-02-240
Use:
Description:
Sub Type:Reroof
Work Type:Replace
Description:
Census Code:434 -
Zoning:
Square Feet:0
Occupancy:
Construction Type:
Comments:Please print pictures of ice and water protection and leave on site.
Carbon monoxide detectors are required by law in ALL single family homes .
Jeff Pelant
Valuation: 4,000.00
Fee Summary:BL - Base Fee $4K $103.25 0801.4085
Surcharge - Based on Valuation $4K $2.00 9001.2195
$105.25 Total:
I hereby acknowledge that I have read this application and state that the information is correct and agree to comply with all applicable State
of Minnesota Statutes and City of Eagan Ordinances.
Contractor:Owner:- Applicant -
Troy F Tatting
1501 Kings Wood Rd
Eagan MN 55122--381
(612) 703-2661
Legacy Restoration Llc
14000 25th Ave N
Suite 110
Plymouth MN 55447
(763) 354-7660
Applicant/Permitee: Signature Issued By: Signature
PERMIT
City of Eagan Permit Type:Building
Permit Number:EA121637
Date Issued:04/10/2014
Permit Category:ePermit
Site Address: 1501 Kings Wood Rd
Lot:24 Block: 2 Addition: Kings Wood 2nd
PID:10-42001-02-240
Use:
Description:
Sub Type:Windows/Doors
Work Type:Replace
Description:Two or More Windows/Doors
Census Code:434 -
Zoning:
Square Feet:0
Occupancy:
Construction Type:
Comments:Improvements to the home require smoke detectors in all bedrooms. If altering window openings or installing Bay or Bow
windows, call for framing inspection. Call for final inspection after installation.
Carbon monoxide detectors are required by law in ALL single family homes .
Valuation: 4,000.00
Fee Summary:BL - Base Fee $4K $103.25 0801.4085
Surcharge - Based on Valuation $4K $2.00 9001.2195
$105.25 Total:
I hereby acknowledge that I have read this application and state that the information is correct and agree to comply with all applicable State
of Minnesota Statutes and City of Eagan Ordinances.
Contractor:Owner:- Applicant -
Troy F Tatting
1501 Kings Wood Rd
Eagan MN 55122--381
(612) 703-2661
Legacy Restoration LLC
14000 25th Ave N
Suite 110
Plymouth MN 55447
(763) 354-7660
Applicant/Permitee: Signature Issued By: Signature
Use BLUE or BLACK Ink
r -.
For Office Use
:::t:
‘ 4' City of Eaaal / 7 7g/
$
3830 Pilot Knob Road
Eagan MN 55122 RECEIVED Date Received: s
Phone: (651)675-5675
Ill1/2
FEB0 8 2017
Fax: (651)675-5694 Staff:
2017 RESIDENTIAL BUILDING PERMIT APPLICATION
Date: Z -7 17 Site Address: ( CO t 1<,-'SS woad 12-cl C� a� ' (FZ� Unit#:
Name: '.,�t^�� �. . t=4.....-1 mow. A- ` Phone: t 2 - 703' 2_6 c.
1 Resident/
Owner I Address/City/Zip: 1 SCS l 4 ,,`c s •,400--cR0. c A.UA,:_)n.,SSf -z,---e... I
I 1 Applicant is: )C Owner Contractor 1 _ y
Description of work: t AT .1/t°0 H ,v"p ,L, i
Type of Work
Construction Cost: �� i+ft�0,c- Multi Family Building: (Yes /No �c)
i
• i Company: C_3 n-e_c Contact: •
Contractor Address: City:
tI State: Zip: Phone: Email: I
i
License#: Lead Certificate#:
If the project is exempt from lead certification, please explain why:
I
nag-7 /4 9A j
I COMPLETE THIS AREA ONLY IF CONSTRUCTING A NEW BUILDING
I In the last 12 months, has the City of Eagan issued a permit for a similar plan based on a master plan?
I
1Yes No If yes,date and address of master plan:
I Licensed Plumber: Phone:
1. Mechanical Contractor: Phone:
•
ii Sewer&Water Contractor: Phone:
Fire Suppression Contractor: Phone:
i NOTE:Plans and supporting documents that you submit are considered to be public information. Portions of
1
the information may be classified as non-public if you provide specific reasons that would permit the City to
Lconclude that the are trade secrets.
CALL BEFORE YOU DIG. Call Gopher State One Call at(651)454-0002 for protection against underground utility damage. Call 48 hours
before you intend to dig to receive locates of underground utilities. www.gopherstateonecall.org
I hereby acknowledge that this information is complete and accurate; that the work will be in conformance with the ordinances and codes of the City of
Eagan; that I understand this is not a permit, but only an application for a permit, and work is not to start without a permit; that the work will be in
accordance with the approved plan in the case of work which requires a review and approval of plans.
Exterior work authorized by a building permit issued in accordance with the Minnesota State Building Code must be completed within 180
days of permit issuance.
x17-0 i IA (^� x ✓
Applicant's Printed Name Applic nt' ignature
Page 1 of 3
j
DO NOT WRITE BELOW THIS LINE / Lip ZL-..)
SUB TYPES `�C' l r�,� ,,1 rr.A
Foundation Fireplace Porch(3-Sason) Exterior Alteration (Single Family)
iti Single Family Garage Porch(4-Season) Exterior Alteration(Multi)
Multi Deck Porch (Screen/Gazebo/Pergola) Miscellaneous
01 of_Plex Lower Level Pool Accessory Building
WORK TYPES
New Interior Improvement Siding Demolish Building*
Addition Move Building Reroof Demolish Interior
' Alteration Fire Repair Windows Demolish Foundation
Replace Repair Egress Window Water Damage
Retaining Wall *Demolition of entire building-give PCA handout to applicant
DESCRIPTION
Valuation 3 a Occupancy -74G_/ MCES System
Plan Review Code Edition A aq SAC Units
(25%_ 100% /, Zoning 7Z -/ City Water —
Census Code 634 Stories —7" Booster Pump ------
#of Units / Square Feet ` PRV
#of Buildings 1 Length Fire Suppression Required .__--
Type of Construction J�t7 Width
REQUIRED INSPECTIONS
Footings (New Building) Meter Size:
Footings (Deck) Final I C.O. Required
Footings (Addition) —Final I No C.O. Required
Foundation Foundation Before Backfill HVAC Gas Service Test Gas Line Air Test
Roof: IceNater Final Pool: Footings _Air/Gas Tests _Final
- Framing 30 Minutes 1 Hour , Drain Tile
Fireplace: _Rough In _Air Test Final Siding:_Stucco Lath _Stone Lath _Brick_EFIS
4 Insulation ' Windows
Sheathing Retaining Wall:_Footings_Backfill_ Final
Sheetrock Radon Control
Fire Walls Fire Suppression: _Rough In_Final
Braced Walls Erosion Control
0 Shower Pan Other:
Reviewed By: , Building Inspector
RESIDENTIAL FEES AN 4014 /o r 0 & 9n 1-,,/ a
Base Fee &Q �i /`v
Surcharge J. S°
Plan Review 5 7 ..6:4---
MCES SAC
City SAC
Utility Connection Charge
S&W Permit& Surcharge
Treatment Plant
Copies / & Ae y
TOTAL
Page 2 of 3
Use BLUE or BLACK Ink
.-
For
For Office Use
City of Eab l ::::: '1410a7-L .6-D
3830 Pilot Knob Road iti
/7
Eagan MN 55122 RECEIVED Date Received: c- 171
Phone: (651) 675-5675 staff: ' -Ia Q
Fax: (651) 675-5694 Frt 0 8 2017 � 1
21017 RESIDENTIAL PLUMBING PERMIT APPLICATION
Date: Z - 7 ) -7 Site Address: I C° I 1 c d Ot QO EA U k►`1 Cl Z --t—
Tenant:
Tenant: Suite#:
s-1-CT �
Co 1 - 7 0� ' Z(oi i Name: ) c& 2
F Resident/Owner J
-0 1 s 0 CASWCJ ILO A AN( tZ Z,
tAddress/City/Zip J
NameW �M av ,�� -�--�� License#:��,�.,.�,. ¢
Address' City:
f
State: Zip: Phone:
1
Contact: Email: I
N..
Type of Work —New —Replacement Repair —Rebuild )(Modify Space Work in R.O.W. f
1 1 Description of work .( 1 /A,f' igj� y/ /\
RESIDENTIAL
a P
i 1 Water Heater t
I Water Softener
I Lawn Irrigation( RPZ/—PVB) i
Permit Type I Add PlumbingFixtures( Main/ Lower Level)
Septic System t �� —� /
1 ,g(,
_New Water Turnaround ` I
( i Abandonment
RESIDENTIAL FEES:
$60.00 Water Heater, Water Softener, or Water Heater and Softener(includes State Surcharge)
$60.00 Lawn Irrigation (includes State Surcharge)
$60.00 Add Plumbing Fixtures, Septic System Abandonment, Water Turnaround*(includes State Surcharge) I
I *Water Turnaround (add$280.00 if a 3/4"meter is required)
$115.00 Septic System New(includes County fee and State Surcharge)
TOTAL FEES $ v.
CALL BEFORE YOU DIG. Call Gopher State One Call at(651)454-0002 for protection against underground utility damage.
Call 48 hours before you intend to dig to receive locates of underground utilities. www.gopherstateonecall.orq
I hereby acknowledge that this information is complete and accurate; that the work will be in conformance with the ordinances and codes of the City of
Eagan; that I understand this is not a permit, but only an application for a permit, and work is not to start without a permit; that the work will be in
accordance with the approved plan in the case of work which requires a review and approval of plans.
X (ro 1 1—k`I11
) ;K ` x/
Applicant's Printed Name 'J A is'Si toure
App
FOR OFFICE USE Reviewed By: Date:
Required Inspections: Under Ground Rough-In Air Test Gas Test Final
Meter Related Items: Meter Size Radio Read ; Manometer Staff:
PERMIT
City of Eagan Permit Type:Building
Permit Number:EA178412
Date Issued:08/16/2022
Permit Category:ePermit
Site Address: 1501 Kings Wood Rd
Lot:24 Block: 2 Addition: Kings Wood 2nd
PID:10-42001-02-240
Use:
Description:
Sub Type:Reroof
Work Type:Replace
Description:Does not include skylight(s)
Census Code:434 - Residential Additions, Alterations
Zoning:
Square Feet:0
Occupancy:
Construction Type:
Comments:Please print pictures of ice and water protection and leave on site.
If water damage is encountered, please call (651) 675-5675 to schedule a site visit to verify the extent of the damage. Any
repairs must be inspected prior to covering. The inspector will determine if an additional permit will be required to repair the
water damage.
Valuation: 5,000.00
Fee Summary:BL - Base Fee $5K $118.00 0801.4085
Surcharge - Based on Valuation $5K $2.50 9001.2195
$120.50 Total:
I hereby acknowledge that I have read this application and state that the information is correct and agree to comply with all applicable State
of Minnesota Statutes and City of Eagan Ordinances.
Contractor:Owner:- Applicant -
Tyler Page
1501 Kings Wood Rd
Eagan MN 55122
(651) 434-1935
Summit Construction Group Inc
5325 W 74th Street, Suite 11
Edina MN 55439
(218) 343-8884
Applicant/Permitee: Signature Issued By: Signature